3-6 years old

Wolf Pups

Our Wolf Pups Program is for children ages 3-6. This program is specially designed to introduce young children to the exciting world of martial arts in a fun and age-appropriate way! Through games and exercises, we focus on helping them improve their basic motor skills, coordination, and hone their ability to listen and successfully follow directions.

Wolf Pup martial arts will help with:

Confidence
Self Esteem
Working well with others
Balance
Coordination
Fitness
Having Fun

WOLF PUP PROGRAM REGISTRATION

Student First Name *

Student Last Name *

Student Date of Birth *

Parents First Name *

Parents Last Name *

Address

Street Address *

City *

State *

Country *

Postal Code *

Phone *

Email *

Emergency Contact 1 Name *

Emergency Contact 1 Phone *

Emergency Contact 1 Relation *

Emergency Contact 2 Name

Emergency Contact 2 Phone

Emergency Contact 2 Relation

BY CHECKING THIS BOX, I AGREE THAT I AM AWARE THAT I OR MY CHILD(REN) IS/ARE ENGAGING IN PHYSICAL EXERCISE AND THE USE OF THE EQUIPMENT, FACILITIES, TRAINING, AND INSTRUCTION, WHICH CAN BE DANGEROUS TO THE STUDENT AND COULD CAUSE INJURY TO THE STUDENT. STUDENT IS VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES AND BUYER AND STUDENT ASSUME ALL RISKS OF INJURY TO STUDENT, WHICH MAY RESULT. BUYER AND STUDENT HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND IT IS A RELEASE OF ALL LIABILITY AND DAMAGE TO ALPHA MARTIAL ARTS FOR ANY INJURY. ALPHA MARTIAL ARTS WILL MAKE NO EVALUATION OR RECOMMENDATION WHETHER STUDENTS OR GUESTS ARE SUFFICIENTLY PHYSICALLY FIT FOR ANY EXERCISE ACTIVITIES.

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Parent Signature *

Clear

Date *

GENERAL INFORMATION:

Complete uniform including gi and belt is required for class. No exceptions will be made.
ALPHA MARTIAL ARTS ACADEMY does not assume any responsibility for the loss, damage or theft of any property belonging to the student.
SUPERVISION – ALPHA MARTIAL ARTS will not be responsible for supervision of any child outside of scheduled class.
For the safety of all other students and staff, please refrain from coming to class if you are experiencing fever, vomiting, diarrhea, or lice.
When a student's behavior becomes inappropriate, a warning will be issued and corrective measures will be taken. ALPHA MARTIAL ARTS reserves the right to terminate any student participation in any and all of our programs at any time.
ALPHA MARTIAL ARTS reserves the right to use any and all images, photos, or videos taken in the dojo for any advertising or display purposes.

CANCELLATION INFORMATION

Membership may be cancelled at any time with a written request and a $50 Cancellation Fee.
I understand and agree that a $50 cancellation fee will be charged to my account to process my cancellation request. I authorize Alpha Martial Arts Academy to charge the payment method on file for this fee.

I have read and agree to the liability statement above *

I agree.

CC Number *

CVV *

Billing Address *

Card Exp. Date *

PAYMENT INFORMATION

Testing fees are separate fees that will be collected before Belt Tests.
There will be a late fee of $20 for payments made after their due date.
No credits, transfers, or refunds can be issued on services, equipment, uniforms, or unused (missed) classes or days.
Default in payment results in cancellation of program. The remaining balance shall be due and payable as well as cost of collection, court costs, and attorney fees.